Hemorrhoids: which is the best therapeutic option?

Vagholkar, Ketan; Chawathey, Shreyas; Shekhar, Shantanu; Vagholkar, Suvarna

doi:10.18203/2349-2902.isj20182996

Cited by 3 publications

(4 citation statements)

References 13 publications

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“…Haemorrhoids enlarge as a result of pressures exerted from the haemorrhoidal arteries, portal veins and systemic veins through an arteriovenous shunt system at the level of the haemorrhoids. 1 This shunt accounts for the bleeding to be bright red in colour. Common symptoms are pain, bleeding or prolapse usually associated with constipation.…”

Section: Introductionmentioning

confidence: 99%

“…A variety of hypothesis have been postulated for the aetiology of haemorrhoids. 1,2 Based on each hypothesis newer methods of treatment have evolved into practice. The cure rates of these methods are variable.…”

Section: Introductionmentioning

confidence: 99%

“…As a result, no single method can be considered as the gold standard of treatment. 1,3 Deciding the best therapeutic option is based on the degree of the haemorrhoid. Issue 11 Page 3543 guided haemorrhoidal artery ligation, stapler haemorrhoidectomy and the traditional open method of ligation and excision are the main options available.…”

Section: Introductionmentioning

confidence: 99%

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Open haemorrhoidectomy revisited: the study of 25 cases

2018

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Background: Haemorrhoids continue to be the commonest benign anorectal condition presenting with bleeding and constipation. The presentation may vary depending on the grade of haemorrhoids. Deciding the best therapeutic option is the biggest challenge faced by the attending surgeon in an era where newer therapeutic technologies for treatment continue to evolve. Therefore, revisiting the traditional surgical option of excision and ligation technique for grossly symptomatic piles was evaluated taking into consideration the cost of the procedure. Twenty five consecutive patients of symptomatic grade III and IV haemorrhoids were selected for the study to determine the outcome of the traditional open method (Milligan Morgan technique)Methods: Twenty five patients after having been checked for fitness for anaesthesia underwent the open method of haemorrhoidectomy under spinal anaesthesia. On admission to hospital a detailed proforma which contained demographic details, and comorbidities was completed. All 25 patients underwent the same procedure by ligation excision technique. Details of operative findings including post-operative outcomes were studied prospectively. Results were evaluated.Results: Of the 25 patients, one patient developed bleeding in the immediate post-operative period which required relook surgery and undermining of the oozing stump. Four patients required catheterisation for urinary retention. A six month follow up did not reveal recurrence or any sort of discomfort while passing stools.Conclusions: Open haemorrhoidectomy (Milligan Morgan) continues to be the most optimum method for treatment of symptomatic piles grade III and IV.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Open haemorrhoidectomy revisited: the study of 25 cases

2018

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“…However the parasite can make its way to the extrahepatic biliary passages giving rise to a multitude of symptoms. 3 A case of biliary ascariasis presenting as obstructive jaundice is presented along with a brief review of literature.…”

Section: Introductionmentioning

confidence: 99%

Hepatobiliary ascariasis

et al. 2017

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Ascaris lumbricoides is one of the commonest parasite seen in the developing world. A multitude of complications can be caused by this parasite. Hepatobiliary ascariasis (HBA) can be very deceptive in its presentation. A high index of suspicion is therefore necessary to diagnose biliary infestation presenting as jaundice. A case of obstructive jaundice due to biliary ascariasis is presented to highlight this deceptive cause for jaundice.

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Clinical and morphological assessment of the effectiveness of using the radiowave surgery device «surgitron» and high – frequency electrosurgical device «kls martin» for treatment of patients with combined pathology of anal canal and rectum

Balytskyy¹,

Kuryk

Zakharash

2019

Clin. and prev. med.

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The aim – to analyze the results of treatment of patients with combined pathology of the anal canal and rectum using Surgitron radio wave surgery and high-frequency electrosurgery "KLS Martin". Materials and methods. The analysis of surgical treatment of 236 patients with combined anal canal and rectum with Surgitron radio wave surgery, 50 patients using KLS Martin high-frequency electrosurgery and 112 patients who have been traditionally operated using a metal scalpel. After surgical interventions using radio-wave and high-frequency electrosurgery devices, morphological examination of tissues was conducted to study the depth of their necrosis. Results. It has been established that the use of Surgitron, as well as the high-frequency electrosurgical apparatus "KLS Martin", reduces the duration of the surgery to 15 ± 5 minutes, reduces the volume of blood loss to 20 ± 10 ml, the need for narcotic analgesics to 2 ± 1 ml, and terms of inpatient treatment of patients up to 4 ± 1 day. The results of the morphological study indicate that the application of the above-mentioned surgical techniques leads to a negligible depth of tissue necrosis from 0.165 ± 0.11 mm using the Surgitron apparatus to 0.192 ± 0.12 mm when used with the KLS Martin apparatus, ensuring cosmetic operations. Conclusions. The use of the Surgitron radio-wave surgery and the KLS Martin electrosurgical apparatus for the treatment of patients with combined pathology of the anal canal and rectum due to insignificant tissue effects contributes to reducing the duration of the operation, reducing the volume of intraoperative blood loss, significantly reducing the pain in the postoperative period, reduction of the terms of inpatient treatment of patients, which determines their rapid medical and social rehabilitation. Also due to the minimal effect on the tissue, the healing of the postoperative wound is faster, which contributes to the formation of a delicate elastic scar and prevents the formation of scar strictures of the anal canal, as well as insufficiency of the anal sphincter in the postoperative period.

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Hemorrhoids: which is the best therapeutic option?

Cited by 3 publications

References 13 publications

Open haemorrhoidectomy revisited: the study of 25 cases

Open haemorrhoidectomy revisited: the study of 25 cases

Hepatobiliary ascariasis

Clinical and morphological assessment of the effectiveness of using the radiowave surgery device «surgitron» and high – frequency electrosurgical device «kls martin» for treatment of patients with combined pathology of anal canal and rectum

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